CHILDRENS PHYSICIAN GROUP PC NPI 1700992450

NPI Information

CHILDRENS PHYSICIAN GROUP PC is a neurology psychiatry neurology in Milwaukee, WI. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. CHILDRENS PHYSICIAN GROUP PC NPI is 1700992450. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9000 W WISCONSIN AVE
MS 958
MILWAUKEE, WI
ZIP 53226-518
Phone: (414) 266-7615
Fax: (414) 266-1853

The provider's authorized official is Thomas Dunigan .
The authorized official title is President and has the following contact phone number (414) 266-6404.

The CLIA number assigned to this NPI record is 52D2011660 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/22/2006 and was last updated on 12/6/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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